Individual provider Active NPI

Donna Woodall, PHARMD

  • Pharmacist
  • Atoka, TN
National Provider Identifier
1134415862
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13046 Issued in TN
Practice address
139 Wesley Reed Dr Ste F
Atoka, TN 38004-4918
Phone
(901) 837-8801
Fax
(901) 837-5014
NPI assigned
Jun 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 13046 TN
Pharmacist 183500000X 13046 TN Primary

Addresses

Primary practice location

139 Wesley Reed Dr Ste F
Atoka, TN 38004-4918

Mailing address

12131 Preserve LN
Arlington, TN 38002-4614
Phone (901) 758-3626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
13046TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Epsb LLC PastSince Feb 1, 2022 Accepting new patients
Kroger Limited Partnership I PastSince Apr 27, 2025 Accepting new patients
The Little Clinic of Tennessee LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1134415862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12131 PRESERVE LN",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380024614",
            "telephone_number": "901-758-3626",
            "fax_number": "901-213-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 WESLEY REED DR STE F",
            "city": "ATOKA",
            "state": "TN",
            "postal_code": "380044918",
            "telephone_number": "901-837-8801",
            "fax_number": "901-837-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODALL",
        "first_name": "DONNA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TN",
            "license": "13046",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "13046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atoka, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.